First published in 2002. Routledge is an imprint of Taylor & Francis, an informa company.

Knowledge of the ethical and legal basis of medicine is as essential to clinical practice as an understanding of basic medical sciences. In the UK, the General Medical Council requires that medical graduates behave according to ethical and legal principles and must know about and comply with the GMC’s ethical guidance and standards. We suggest that these standards can only be achieved when the teaching and learning of medical ethics, law and professionalism are fundamental to, and thoroughly integrated both vertically (...) and horizontally throughout, the curricula of all medical schools as a shared obligation of all teachers. The GMC also requires that each medical school provides adequate teaching time and resources to achieve the above. We reiterate that the adequate provision and coordination of teaching and learning of ethics and law requires at least one full-time senior academic in ethics and law with relevant professional and academic expertise. In this paper we set out an updated indicative core content of learning for medical ethics and law in UK medical schools and describe its origins and the consultative process by which it was achieved. (shrink)

While robotics has benefited from inspiration gained from biology, the opposite is not the case: there are few if any cases in which robotic models have lead to genuine insight into biology. We analyze the reasons why biorobotics has been essentially a one-way street. We argue that the development of better tools is essential for progress in this field.

A possible person’s conditional expected well-being is what the quality of their prospects would be if they were to come into existence. This paper examines the role that this form of expected well-being should play in distributing benefits among prospective people and in deciding who to bring into existence. It argues for a novel egalitarian view on which it is important to ensure equality in people’s life prospects, not merely between actual individuals, but also between all individuals who, given our (...) choices, have a chance of coming into existence. The paper argues that such egalitarianism for prospective people springs from equal concern for each person and has plausible implications. It further shows that it has a rationale in respect for both the unity of the individual and the separateness of persons. Finally, it defends this view against a key objection and shows it is superior to a rival view. (shrink)

This article summarizes and extends the moderate revisionist position I put forth in Four Views on Free Will and responds to objections to it from Robert Kane, John Martin Fischer, Derk Pereboom, and Michael McKenna. Among the principle topics of the article are (1) motivations for revisionism, what it is, and how it is different from compatibilism and hard incompatibilism, (2) an objection to libertarianism based on the moral costs of its current epistemic status, (3) an objection to the distinctiveness (...) of semicompatibilism against conventional forms of compatibilism and (4) whether moderate revisionism is committed to realism about moral responsibility. (shrink)

ABSTRACT In Germany, applied ethics is under attack from a diverse coalition of left‐wing organisations, disability groups, and some conservative defenders of a strict doctrine of the sanctity of human life. The attack has been pressed to the point of forcing the cancellation of conferences and disrupting lectures or classes so that they cannot take place. This essay describes the extent and nature of the attack, and makes a preliminary assessment of its significance.

The chief problem for the theory of mind is that of presence. In this paper I offer an explanation of this claim, and I indicate how my own “enactive” approach to mind has tried to address this problem. I also argue that other approaches, such as that undertaken by Hutto and Myin, have side-stepped the problem, instead of addressing it; their position opts for reductionism and eliminativism. This essay has two parts. The first is an exposition of the enactive approach, (...) as I understand it, and the second is a critical evaluation of Hutto and Myin. (shrink)

Facing the possibility of a surge of COVID-19-infected patients requiring ventilatory support in Intensive Care Units, the Singapore Hospice Council and the Chapter of Palliative Medicine Physicians forward its position on the guiding principles that ought to drive the allocation of ICU beds and its role in care of these patients and their families.

Children do not belong to their parents. They are not property, although throughout much of history they were considered chattel. In the 21st century, it is generally agreed that children are indiv...

The present paper wants to develop a formal semantics about a special class of formulas: quantifying statements, which are a kind of predicative statements where both subject- and predicate terms are quantifier expressions like ‘everything’, ‘something’, and ‘nothing’. After showing how talking about nothingness makes sense despite philosophical objections, I contend that there are two sorts of meaning in phrases including ‘thing’, viz. as an individual (e.g. ‘some thing’) or as a property (e.g. ‘something’). Then I display two kinds of (...) logical forms for quantifying statements, depending on how these ‘thing’s are ordered into a whole predication. Finally, an algebraic semantics is proposed for the finite set of quantifying statements to order these into a (fragmentary) dodecagon of logical relations. The corresponding Sub-Model Semantics (hereafter: $$\mathbb {SMS}$$ ) aims to update the usual theory of opposition whilst leading to a research program for other kinds of statement like categorical and even modal propositions. (shrink)

Schelling's 1806 polemic against Fichte, and his last major work on the philosophy of nature. The heat of anger can concentrate the mind. Convinced that he had been betrayed by his former collaborator and colleague, Schelling attempts in this polemic to reach a final reckoning with Fichte. Employing the format of a book review, Schelling directs withering scorn at three of Fichte’s recent publications, at one point likening them to the hell, purgatory, and would-be paradise of Fichtean philosophy. The central (...) bone of contention is the understanding of nature: Fichte sees it as lifeless matter in motion, sheer opposition to be overcome, while Schelling waxes poetic in his defense of a living, organic nature of which humanity is a vital part. Indeed, we do not know ourselves without understanding our connection to nature, argues Schelling, anticipating many thinkers in contemporary environmental ethics. Dale E. Snow’s introduction sets the stage and explains the larger context of the conflict, which was already visible in the correspondence of the two philosophers, which broke off by 1802. Notes are included throughout the text, providing background information and identifying the many references to Fichte. Dale E. Snow is Associate Professor of Philosophy at Loyola University of Maryland and the author of Schelling and the End of Idealism, also published by SUNY Press. (shrink)

How nursing as a profession is valued may be changing and needs to be explored and understood in a global context. We draw on data from two empirical studies to illustrate our argument. The first study explored the value of nursing globally, the second investigated the experiences of overseas trained nurses recruited to work in a migrant capacity in the UK health care workforce. The indications are that nurses perceive themselves as devalued socially, and that other health care professionals do (...) not give nursing the same status as other, socially more prestigious professions, such as medicine. Organizational and management structures within the NHS and the independent care home sector devalue overseas nurses and the contribution they make to health care. Our conclusions lead us to question the accepted sociocultural value of the global nursing workforce and its perceived contribution to global health care, and to consider two ethical frameworks from which these issues could be discussed further. (shrink)

Name der Zeitschrift: Cognitive Linguistics Jahrgang: 26 Heft: 4 Seiten: 633-656.

Newborn male circumcision is a minor surgical procedure that has generated significant controversy. Accumulating evidence supports significant health benefits, most notably reductions in urinary tract infections, acquisition of HIV and a number of other sexually transmitted infections, penile cancer, phimosis, paraphimosis, balanitis and lichen sclerosis. While circumcision, like any surgical procedure, has risks for complications, they occur in less than 1 in 500 infants circumcised and most are minor and require minimal intervention. The CDC and the American Academy of Pediatrics (...) believe that health benefits of circumcision outweigh the risks. For this reason, the AAP believes that parents should be allowed to make the decision concerning circumcision of their male infants after receiving non-biased information on health risks and health benefits. (shrink)

Finland is internationally known as one of the leading centers of twentieth century analytic philosophy. This volume offers for the first time an overall survey of the Finnish analytic school. The rise of this trend is illustrated by original articles of Edward Westermarck, Eino Kaila, Georg Henrik von Wright, and Jaakko Hintikka. Contributions of Finnish philosophers are then systematically discussed in the fields of logic, philosophy of language, philosophy of science, history of philosophy, ethics and social philosophy. Metaphilosophical reflections on (...) the nature of philosophy are highlighted by the Finnish dialogue between analytic philosophy, phenomenology, pragmatism, and critical theory. (shrink)

Background This paper addresses sedation at the end of life. The use of sedation is often seen as a last resort for patients whose death is imminent and whose symptoms cannot be treated in any other way. This paper asks how to assess constellations, where patients want to hasten their death by refusing (further) life-sustaining treatment, or by voluntarily stopping eating and drinking (VSED), and wish this to be accompanied by sedation. Argument We argue that sedation is ethically and legally (...) permissible not only as a last resort, but in principle. Furthermore, we see a clear obligation to sedate in cases of acute suffering of any kind, while in some other constellations individual physicians’ objections to supposedly premature or unnecessary sedation must be respected. Such possible reservations should, however, be reconsidered in light of the fundamental ethical and legal right to a self-determined death. Conclusion In general, sedation practices should be less restrictive, and existing guidelines should be revised accordingly. (shrink)

Summary Principles Timely support for patients and people close to them, and effective, sensitive communication are essential. Decisions must be based on the individual patient's circumstances and reviewed regularly. Sensitive advance discussion should always be encouraged, but not forced. Information about CPR and the chances of a successful outcome needs to be realistic. Practical matters Information about CPR policies should be displayed for patients and staff. Leaflets should be available for patients and people close to them explaining about CPR, how (...) decisions are made and their involvement in decisions. Decisions about attempting CPR must be communicated effectively to relevant health professionals. In emergencies If no advance decision has been made or is known, CPR should be attempted unless: the patient has refused CPR; the patient is clearly in the terminal phase of illness; or the burdens of the treatment outweigh the benefits. Advance decision making Competent patients should be involved in discussions about attempting CPR unless they indicate that they do not want to be. Where patients lack competence to participate, people close to them can be helpful in reflecting their views. Legal issues Patients' rights under the Human Rights Act must be taken into account in decision making. Neither patients nor relatives can demand treatment which the health care team judges to be inappropriate, but all efforts will be made to accommodate wishes and preferences. In England, Wales and Northern Ireland relatives and people close to the patient are not entitled in law to take health care decisions for the patient. In Scotland, adults may appoint a health care proxy to give consent to medical treatment. Health professionals need to be aware of the law in relation to decision making for children and young people.IntroductionWhy policies are neededCardiopulmonary resuscitation can be attempted on any person whose cardiac or respiratory functions cease. Failure of these functions is part of dying and thus …. (shrink)

The accent of Greek orthotonic words was mobile with limited freedom of movement, i.e. it could not stand outside a definite zone at the end of the word. Had the limit of this zone been the same for all words and had the accent been allowed to stand anywhere within it , there would have been no problem. Unfortunately, the length of the accentuable zone did vary whatever the unit we use and there was a place within it where the (...) accent was prohibited . Hence the problem of explaining these ‘irregularities’. (shrink)

One puzzling feature of talk about properties, propositions and natural numbers is that statements that are explicitly about them can be introduced apparently without change of truth conditions from statements that don't mention them at all. Thus it seems that the existence of numbers, properties and propositions can be established`from nothing'. This metaphysical puzzle is tied to a series of syntactic and semantic puzzles about the relationship between ordinary, metaphysically innocent statements and their metaphysically loaded counterparts, statements that explicitly mention (...) numbers, properties and propositions, but nonetheless appear to be equivalent to the former. I argue that the standard solutions to the metaphysical puzzles make a mistaken assumption about the semantics of the loaded counterparts. Instead I propose a solution to the syntactic and semantic puzzles, and argue that this solution also gives us a new solution to the metaphysical puzzle. I argue that instead of containing more semantically singular terms that aim to refer to extra entities, the loaded counterparts are focus constructions. Their syntactic structure is in the service of presenting information with a focus, but not to refer to new entities. This will allow us to spell out Frege's metaphor of content carving. (shrink)

In this study, we analyze the development conditions of and trends in Ukrainian scientific art during the ongoing war with the Russian Federation. Based on our own experience, we demonstrate how the emphasis, values, and goals of scientific art shift under martial law. We also highlight the challenges and difficulties faced by Ukrainian artists and researchers who found themselves in the occupied territories. Our own experience involves the promotion of the scientific and artistic project “Nanoart. Science is art” and its (...) transformation into a socio-patriotic project “Nanoart. New symbolism of science.” We use this example to show how trends in art, culture, and science change very quickly under critical conditions. Art during the war has military and liberation themes, while artists and scientists during the war are warriors on the cultural and scientific fronts. (shrink)

In mid-1996, the United States Supreme Court agreed to hear arguments and rule on two lower court cases that would, if upheld, legalize physician-assisted suicide in twelve states, including California. At about the same time, at a national meeting dealing with this controversial topic, several participants from the San Francisco Bay Area got together to ask, Based on the old principle of the suggestion was made that the local ethics committee network might be interested in developing guidelines for the care (...) of patients at the end of life in the unlikely event that laws would change by Supreme Court action. Thus the coordinator of the Bay Area Network of Ethics Committees (BANEC) and several BANEC members began to discuss this question. (shrink)

Eloquence & professionalism in the nineteenth century -- Engaging science and society -- Talking to teachers -- Speaking up for spirits -- Religious experience & the appeals of intellectual populism -- Empowering a pragmatic public.